Neuropathy No More By JODI KNAPP Neuropathy No More is an eBook which is a compilation of all the essential information and details about the nervous system and how to keep it active and healthy. With the help of this program, one can get a relief from the symptoms of neuropathy. This eBook not only tells you about the nervous system, but also helps to provide essential information to get relief from the condition of neuropathy. It also provides information about how you can prevent this condition from coming back in the near future.
What is large fiber neuropathy?
Large fiber neuropathy is a type of peripheral neuropathy that affects the large myelinated nerve fibers of the peripheral nervous system. These fibers are primarily accountable for:
Vibration sense
Proprioception (awareness of the position and motion of your body)
Light touch
Muscle control (motor function)
The impairment of these large fibers produces a particular set of symptoms and diagnostic results.
???? Primary Characteristics of Large Fiber Neuropathy
✅ Primary Symptoms:
Numbness, especially in the hands and feet
Loss of vibration and position sense, causing:
Poor coordination
Difficulty in walking (especially in the dark)
Frequent falls
Absent or reduced reflexes (like ankle reflexes)
Muscle weakness (not as common but may be present if motor fibers are involved)
❌ Less Common Symptoms:
Burning pain, tingling, or electric-shock-like sensations are more typical of small fiber neuropathy but may nevertheless appear in some cases of mixed fiber involvement.
???? How It’s Diagnosed:
Neurological exam: Vibration testing with a tuning fork, reflex testing, and gait and balance testing.
Nerve conduction studies (NCS): Are usually abnormal in large fiber neuropathy because large fibers are what these tests detect.
Electromyography (EMG): Can assess muscle activity and motor nerve function.
Quantitative sensory testing (QST): Can show loss of vibration or position sense.
Blood tests: To look for underlying conditions like diabetes, vitamin deficiency, or autoimmune diseases.
???? Large Fiber Neuropathy Causes:
Diabetes
Vitamin B12 deficiency
Autoimmune conditions (e.g., Guillain-Barré syndrome, CIDP)
Hypothyroidism
Medications or toxins (e.g., chemotherapy drugs)
Inherited neuropathies (e.g., Charcot-Marie-Tooth disease)
????️ Treatment and Management:
Treat the underlying condition (e.g., manage diabetes or treat a B12 deficiency)
Physical therapy for balance and preventing falls
Assistive devices like canes or orthotics
Occupational therapy for activities of daily living
Pain management if neuropathic pain is present
Would you like help to compare large fiber neuropathy and small fiber neuropathy in a simple chart?
Focal neuropathy is a type of peripheral neuropathy in which one nerve or a single nerve group is affected, causing sudden weakness, pain, or dysfunction in a specific, localized area. Unlike other neuropathies that affect numerous nerves (e.g., polyneuropathy), focal neuropathy is asymmetrical and localized.
Primary Features of Focal Neuropathy
Sudden onset: Symptoms can develop suddenly, without warning.
Localized symptoms: Typically involves the face, torso, leg, or arm.
Pain or weakness: Can involve sharp pain, muscle weakness, or both.
Temporary: Tends to improve within weeks to months, though some cases require treatment.
Common Types of Focal Neuropathy
Cranial Neuropathy
Affects the nerves of the head.
Example: Bell’s palsy – facial nerve (cranial nerve VII) dysfunction leading to facial paralysis.
Oculomotor neuropathy (cranial nerve III): may cause drooping eyelid and double vision.
Truncal Neuropathy
Affects nerves in the chest or abdomen.
May mimic pain from other sources like shingles or heart problems.
Typically occurs as a burning or stabbing pain on one side of the body.
Femoral Neuropathy
Affects muscles in the thigh, causing difficulty standing from a seated position or ascending stairs.
Peroneal Neuropathy
Affects peroneal nerve near the knee.
May result in foot drop—difficulty with lifting the front of the foot.
Causes of Focal Neuropathy
Diabetes (most common underlying condition)
Trauma or compression (e.g., crossing legs for too long, tight casts)
Infections (such as shingles)
Autoimmune disorders
Tumors compressing nerves
Diagnosis
Physical and neurologic examination
Nerve conduction studies and electromyography (EMG)
Imaging (e.g., MRI) if structural cause suspected
Blood work for underlying conditions such as diabetes
Treatment
Pain: NSAIDs, gabapentin, or other neuropathic pain meds
Physical therapy: To strengthen muscles and preserve function
Treating the cause: Managing diabetes, relieving pressure on the nerve, etc.
Time: The majority of cases improve on their own within weeks to months
Summary
Focal neuropathy is an acute, localized nerve dysfunction commonly linked with diabetes or compression of a nerve. Painful or disabling though it is, it improves with treatment and time.
Would you like to compare focal neuropathy with polyneuropathy or elaborate on a specific type further?
Neuropathy No More By JODI KNAPP Neuropathy No More is an eBook which is a compilation of all the essential information and details about the nervous system and how to keep it active and healthy. With the help of this program, one can get a relief from the symptoms of neuropathy. This eBook not only tells you about the nervous system, but also helps to provide essential information to get relief from the condition of neuropathy. It also provides information about how you can prevent this condition from coming back in the near future.